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JAZMYN WILSON
NPI 1124696042
Social Worker - Clinical in Glen Allen, VA

Active since June 16, 2021PECOS Enrolled
PO BOX 974, GLEN ALLEN, VA 23060(703) 493-0407 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2025, Jun 16, 2021 (2 updates tracked since 2021).

About Jazmyn Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAZMYN WILSON (NPI 1124696042) is an individual clinical provider in Glen Allen, Virginia, licensed in Maryland (22675) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124696042
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAZMYN WILSON
Location AddressPO BOX 974Glen Allen, VA 23060-0974
Mailing AddressPo Box 974Glen Allen, VA 23060-0974 · (804) 592-6696
Phone(703) 493-0407
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 16, 2021
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1124696042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 22675
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
PO BOX 974, Glen Allen, VA 23060
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jazmyn Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406202423
PECOS Enrollment IDI20260401001377
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jazmyn Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Safe Harbor Behavioral Care, LLC
139 mi
Clinical
2227 OLD EMMORTON RD, STE 119
Bel Air, MD 21015
  • Reassigned Medicare billing, Maryland enrollment
  • 131 clinicians in this Medicare group
NPI 1316487879 (410) 893-4600
Grow Healthcare Group PA
838 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Sondermind Provider Network LLC
1,483 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Maryland and Virginia enrollments
  • 179 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jazmyn Wilson's NPI number?

The NPI number for Jazmyn Wilson is 1124696042. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Jazmyn Wilson located?

Jazmyn Wilson practices at PO Box 974, Glen Allen, VA 23060. The listed phone number is (703) 493-0407.

What is Jazmyn Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jazmyn Wilson enrolled in Medicare?

Yes. Jazmyn Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jazmyn Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jazmyn Wilson reassigns Medicare benefits to 3 organizations: Safe Harbor Behavioral Care, LLC (Bel Air, MD), Grow Healthcare Group PA (Miami, FL) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jazmyn Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jazmyn Wilson accept?

Health plans from UnitedHealthcare list Jazmyn Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jazmyn Wilson was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.